Individual
JOHN C BLASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 MADISON, SUITE 1101, C/O SEATTLE PROSTATE INSTITUTE, SEATTLE, WA 98104
(206) 215-2480
(206) 215-2481
Mailing address
PO BOX 3972, SEATTLE, WA 98124-3972
(206) 749-5130
(206) 749-5135
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD00016098
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8149080
—
WA
Enumeration date
07/25/2006
Last updated
01/16/2008
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